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1437659125
LACRESHA DANYELL YOUNGBLOOD
TYLER, TX
NPI
1437659125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AR L043813)
Enumeration Date
2018-02-19
Last Update Date
2018-02-19
Business Address
LACRESHA DANYELL YOUNGBLOOD
755 S BECKHAM AVE
TYLER, TX 75701-1903
Phone number: 903-534-4684
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Mailing Address
LACRESHA DANYELL YOUNGBLOOD
2801 BILL OWENS PKWY APT 203
LONGVIEW, TX 75605-2169
Phone number: 903-490-6430
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